| NPI | 1992701999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN MD27703) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 027703) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2012-09-04 |